
Regalo Health Moves High‑Volume Healthcare Fax to the Cloud
At a Glance
Cloud-Based Fax Infrastructure
API-Integrated Workflows
Reliable High-Volume Performance
What Regalo Health Gained with Documo
Standardized Fax Across the Organization
Flexible Workflow Support
Better Pricing Fit
What Was the Old Fax Environment Costing Regalo Health?
- On-premises fax servers requiring ongoing hardware maintenance
- Fax managed in a separate portal outside internal systems
- Growing operational complexity alongside fax volume
- A newly acquired company on an outdated, incompatible fax system
- Fully cloud-based — no fax server hardware to maintain
- Fax embedded directly into internal systems via API
- Thousands of daily faxes handled without extra infrastructure
- One unified platform across the entire organization
Why Did Regalo Health Choose Documo's Cloud Fax API?

Flexible Workflow Capabilities
- Automatically forwarding incoming faxes to both fax numbers and email addresses.
- Sending copies of faxes to external clients automatically.
- Splitting multi-page fax documents.
- Full HIPAA compliance across all workflows.
Eliminate Delays Caused by Legacy Fax and Document Workflows.
A Fast, Low-Disruption Rollout
The transition was smooth and fast. Regalo Health’s team integrated via Documo’s API and moved into production without a lengthy onboarding process or disruption to existing workflows.
From the start, the Documo team was hands-on – a dedicated implementation contact stayed close throughout, ensuring any questions were addressed quickly and the rollout stayed on track.
# Send a fax with one API call
import requests
response = requests.post(
"https://api.documo.com/v1/fax",
headers={"Authorization": "Bearer YOUR_API_KEY"},
data={
"to": "+15551234567",
"from": "+15559876543",
"subject": "Medical Records",
},
files={"file": open("medical_records.pdf", "rb")},
)
print(response.json())
# {"faxId": "fax_8f3a92bc", "status": "queued", "to": "+15551234567", "pages": 3}

What Changed After the Move?

For us, the API was the whole story. We needed fax to live inside our own systems - not a separate portal our team had to manage. Documo's API gave us the programmatic control to build fax directly into our workflows, handle thousands of documents a day without touching them manually, and scale without adding infrastructure. Most fax solutions don't offer that depth of API access. That was the deciding factor.
Questions About This Case Study
Regalo Health is a pharmacy services and healthcare technology organization headquartered in Phoenix, Arizona. It works with healthcare providers, pharmacies, and patients to coordinate medication access and improve treatment outcomes.
Regalo Health processes between 3,000 and 4,000 inbound faxes per day, with a similar volume outbound. These include prior authorizations, pharmacy communications, patient records, and prescription coordination.
Its on-premises fax environment had outgrown the business. Maintaining servers and stitching fax into internal workflows created operational drag and infrastructure overhead. The team needed fax to live inside its own systems, connect through an API, and support high-volume healthcare workflows — while also preparing for a new CRM and absorbing a newly acquired company’s fax workflows.
The decision came down to three things: API capability, high-volume reliability, and cost. Documo’s API-first architecture let the team embed fax directly into internal systems. The cloud infrastructure handled thousands of daily faxes reliably. And Documo came in at a better price point than the previous solution.
Yes. Documo’s cloud fax platform supports thousands of inbound and outbound healthcare faxes each day without requiring additional infrastructure. Regalo Health runs 3,000 to 4,000 inbound faxes daily on the platform.
Yes. Documo supports full HIPAA-compliant fax workflows, which was a core requirement for Regalo Health’s healthcare communications including prior authorizations, patient records, and prescription coordination.